Individual Health Insurance Plans Features and Benefits


5 min read

Do you prefer individual health insurance policy over family floater ones? If you are planning to buy an individual health insurance plan, check its features and benefits here in this blog.

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What is an Individual Health Insurance Plan?

Individual Health Insurance plans refer to the ones that offer health coverage to the insured on an individual basis as opposed to a family floater basis. Here, the insured can get coverage against the costs incurred towards upholding the overall health security of the person.

What is Covered Coverd under individual health plans?

Under individual health insurance, the insured gets hospitalization expenses covered as per the sum insured. Individual plans need to be bought individually for every member of the family, unlike the family floater plans. Hence, you have the liberty to modify your health plan as per your requirement and health condition.

Coverage under individual health plans include:

  • Hospitalization charges
  • Ambulance charges
  • Day care charges, etc.
How to switch from group health to individual health Insurance?

Features of Individual health insurance plans

Here are some features of an individual health insurance policy:

  • These plans allow coverage for the insured person only. It doesn’t cover the family members or relatives of the insured. Hence, only one single person, the insured, who has bought the policy can avail the benefits under such insurance.
  • Under this plan, the insurance company covers the policyholder against healthcare costs on the basis of the sum insured and the premium paid by the insured. So, if you have higher sum insured, you can avail greater coverage and vice-versa.
  • Hospitalization expenses including pre and post hospitalization is also covered under individual health insurance plans. This means that you can get reimbursed for hospitalization along with pre as well as post hospitalization costs.
  • These plans can be used all through your life. So, you can buy your health insurance plan early on in life and use it all throughout your life by renewing it timely.
  • The best individual health insurance plans allow you to get tax benefits under section 80D of Income Tax. This is a great benefit as you can avoid a large amount of tax and can avail tax deduction under these plans.
  • These plans also offer coverage against hospital room rent, doctor’s fee and several other features.
  • You can buy individual health insurance plans to protect against several critical diseases as well.

Benefits of Individual Health Insurance

Here are some benefits of the individual health insurance policy:

1. Benefits can be availed by the insured person only:

These Insurance allow only the insured person to avail benefits of the plan. So, if you are looking to buy a policy for the entire family, you must look for family floater plans as compared to individual plans. This is because your individual plan cannot be used for any other person besides the insured.

2. You can benefit from individual sum assured:

Under the individual health insurance plans, the insurer allows the individuals or the insured to gain benefit from individual sum assured. Since this policy caters to single people, it works on the principle of individual sum assured as compared to the family floater basis.

3. Serve people with greater risk coverage:

Individual health plans work for people who want multiple coverage against greater health risks.

4. Can be renewed throughout life:

Since there is no restriction of maximum age for people to buy these policies, one can continue to avail benefits under these plans by renewing it on time every time.

Further, under individual insurance the insured can make multiple claims within a year since the policy caters to one person only and you do not have to share it with anyone.

Inclusions of Individual health insurance plans

  • It includes precautionary health check-ups.
  • It covers for in-patient hospitalization costs.
  • It covers expenses for Pre and Post hospital treatment.
  • Covers for ambulance charges in emergency situations.
  • It protects against deadly diseases like Covid-19.
  • Most of these plans cover diagnostic and laboratory expenses.
  • They also cover hospital room rent, day care procedures and domiciliary charges.
  • Some of these cheap individual health insurance plans allow coverage against organ donation and alternative treatments as well.

Exclusions of Individual health insurance plans

  • Self caused injuries
  • Dental charges
  • Injuries caused under the influence of alcohol
  • Obesity and related treatment
  • Infertility in women
  • Also doesn’t cover cosmetic surgeries.
  • Injuries caused by participating in dangerous sports, or using nuclear weapons etc.
  • Do not cover the treatment of HIV/AIDS.

Some of the Top Individual Health Insurance Policies Include

Here are the best health insurance companies for individuals:

  • Niva Bupa Health Premia Individual Health Insurance Plan
  • Star Medi Classic Insurance Policy
  • Bajaj Allianz Individual Health Guard
  • Personal Protect Insurance Policy by ICICI Lombard

How to buy a Individual Health Insurance Plan

Here are the steps to buy Individual Health Insurance:

  • Visit the insurer’s website and click on the ‘health’ tab.
  • Submit detail of the ‘Type of Policy’ required along with other details like sum Insured, Age of Primary Insured, and location etc.
  • Now, submit personal details like your Name, Email id and phone number.
  • In the next step, you can see a list of plans on the screen.
  • Read the details and choose from one of the plans.
  • Compare the plans before buying and opt for the one that suits you best.
  • Now, make the payment online.
  • You will receive the policy documents within minutes.

Popular Health Insurance Companies India, 2023


Individual health insurance plans allow coverage to individuals for their health as per the sum insured.  Under these plans each family member gets protection on an individual basis. Thus, in an individual health insurance plan, only the policyholder is covered and receives protection. Health insurance for low income individuals is also available.
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Jun 21, 2022
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PayBima Team
PayBima is an Indian insurance aggregator on a mission to make insurance simple for people. PayBima is the Digital arm of the already established and trusted Mahindra Insurance Brokers Ltd., a reputed name in the insurance broking industry with 17 years of experience. PayBima promises you the easy-to-access online platform to buy insurance policies, and also extend their unrelented assistance with all your policy related queries and services.

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